|
BLADE SAW SAGITAL 25x9MM
|
Facility
|
OP
|
$131.95
|
|
| Hospital Charge Code |
270674136
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.75 |
| Max. Negotiated Rate |
$65.97 |
| Rate for Payer: Aetna Commercial |
$50.14
|
| Rate for Payer: Aetna Medicare Advantage |
$39.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$33.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$33.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$33.65
|
| Rate for Payer: Cigna Commercial |
$65.97
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$34.31
|
| Rate for Payer: Oxford Commercial |
$26.39
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.79
|
| Rate for Payer: UnitedHealthcare Commercial |
$26.39
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.75
|
|
|
BLADE SAW SAGITTAL 12.5x81.5
|
Facility
|
OP
|
$149.45
|
|
| Hospital Charge Code |
270668627
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.24 |
| Max. Negotiated Rate |
$74.72 |
| Rate for Payer: Aetna Commercial |
$56.79
|
| Rate for Payer: Aetna Medicare Advantage |
$44.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$38.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$38.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$38.11
|
| Rate for Payer: Cigna Commercial |
$74.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$38.86
|
| Rate for Payer: Oxford Commercial |
$29.89
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.42
|
| Rate for Payer: UnitedHealthcare Commercial |
$29.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.24
|
|
|
BLADE SAW SAGITTAL 12.5x81.5
|
Facility
|
IP
|
$149.45
|
|
| Hospital Charge Code |
270668627
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.42 |
| Max. Negotiated Rate |
$22.42 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.42
|
|
|
BLADE SAW SAGITTAL 18.5x90
|
Facility
|
OP
|
$326.25
|
|
| Hospital Charge Code |
270656386
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.27 |
| Max. Negotiated Rate |
$163.12 |
| Rate for Payer: Aetna Commercial |
$123.97
|
| Rate for Payer: Aetna Medicare Advantage |
$97.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.19
|
| Rate for Payer: Cigna Commercial |
$163.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$84.83
|
| Rate for Payer: Oxford Commercial |
$65.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.94
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.31
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.27
|
|
|
BLADE SAW SAGITTAL 18.5x90
|
Facility
|
IP
|
$326.25
|
|
| Hospital Charge Code |
270656386
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.94 |
| Max. Negotiated Rate |
$48.94 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.94
|
|
|
BLADE SAW SAGITTAL 19.5MM CUT
|
Facility
|
OP
|
$30.80
|
|
| Hospital Charge Code |
270657037
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.87 |
| Max. Negotiated Rate |
$15.40 |
| Rate for Payer: Aetna Commercial |
$11.70
|
| Rate for Payer: Aetna Medicare Advantage |
$9.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7.85
|
| Rate for Payer: Cigna Commercial |
$15.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.01
|
| Rate for Payer: Oxford Commercial |
$6.16
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.16
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.97
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.87
|
|
|
BLADE SAW SAGITTAL 19.5MM CUT
|
Facility
|
IP
|
$30.80
|
|
| Hospital Charge Code |
270657037
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.62 |
| Max. Negotiated Rate |
$4.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.62
|
|
|
BLADE SAW SAGITTAL 25x5.5MM
|
Facility
|
OP
|
$97.20
|
|
| Hospital Charge Code |
270674224
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.76 |
| Max. Negotiated Rate |
$48.60 |
| Rate for Payer: Aetna Commercial |
$36.94
|
| Rate for Payer: Aetna Medicare Advantage |
$29.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$24.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$24.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$24.79
|
| Rate for Payer: Cigna Commercial |
$48.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.27
|
| Rate for Payer: Oxford Commercial |
$19.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.44
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.76
|
|
|
BLADE SAW SAGITTAL 25x5.5MM
|
Facility
|
IP
|
$97.20
|
|
| Hospital Charge Code |
270674224
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.58 |
| Max. Negotiated Rate |
$14.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.58
|
|
|
BLADE SAW SAGITTAL 25x5.5x.38
|
Facility
|
OP
|
$101.05
|
|
| Hospital Charge Code |
270675010
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.87 |
| Max. Negotiated Rate |
$50.52 |
| Rate for Payer: Aetna Commercial |
$38.40
|
| Rate for Payer: Aetna Medicare Advantage |
$30.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$25.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$25.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$25.77
|
| Rate for Payer: Cigna Commercial |
$50.52
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$26.27
|
| Rate for Payer: Oxford Commercial |
$20.21
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.16
|
| Rate for Payer: UnitedHealthcare Commercial |
$20.21
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.87
|
|
|
BLADE SAW SAGITTAL 25x5.5x.38
|
Facility
|
IP
|
$101.05
|
|
| Hospital Charge Code |
270675010
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.16 |
| Max. Negotiated Rate |
$15.16 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.16
|
|
|
BLADE SAW SAGITTAL 25x9x.51MM
|
Facility
|
OP
|
$95.65
|
|
| Hospital Charge Code |
270673036
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.72 |
| Max. Negotiated Rate |
$47.83 |
| Rate for Payer: Aetna Commercial |
$36.35
|
| Rate for Payer: Aetna Medicare Advantage |
$28.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$24.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$24.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$24.39
|
| Rate for Payer: Cigna Commercial |
$47.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.87
|
| Rate for Payer: Oxford Commercial |
$19.13
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.72
|
|
|
BLADE SAW SAGITTAL 25x9x.51MM
|
Facility
|
IP
|
$95.65
|
|
| Hospital Charge Code |
270673036
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.35 |
| Max. Negotiated Rate |
$14.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.35
|
|
|
BLADE SAW SAGITTAL 31x9MM
|
Facility
|
OP
|
$96.45
|
|
| Hospital Charge Code |
270673576
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.74 |
| Max. Negotiated Rate |
$48.23 |
| Rate for Payer: Aetna Commercial |
$36.65
|
| Rate for Payer: Aetna Medicare Advantage |
$28.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$24.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$24.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$24.59
|
| Rate for Payer: Cigna Commercial |
$48.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.08
|
| Rate for Payer: Oxford Commercial |
$19.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.29
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.74
|
|
|
BLADE SAW SAGITTAL 31x9MM
|
Facility
|
IP
|
$96.45
|
|
| Hospital Charge Code |
270673576
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.47 |
| Max. Negotiated Rate |
$14.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.47
|
|
|
BLADE SAW SAGITTAL 40x19.5MM
|
Facility
|
OP
|
$118.65
|
|
| Hospital Charge Code |
270675967
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.37 |
| Max. Negotiated Rate |
$59.33 |
| Rate for Payer: Aetna Commercial |
$45.09
|
| Rate for Payer: Aetna Medicare Advantage |
$35.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.26
|
| Rate for Payer: Cigna Commercial |
$59.33
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$30.85
|
| Rate for Payer: Oxford Commercial |
$23.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$17.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$23.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.75
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.37
|
|
|
BLADE SAW SAGITTAL 40x19.5MM
|
Facility
|
IP
|
$118.65
|
|
| Hospital Charge Code |
270675967
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.80 |
| Max. Negotiated Rate |
$17.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$17.80
|
|
|
BLADE SAW STERNUM 32MM
|
Facility
|
IP
|
$52.35
|
|
| Hospital Charge Code |
270662338
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.85 |
| Max. Negotiated Rate |
$7.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.85
|
|
|
BLADE SAW STERNUM 32MM
|
Facility
|
OP
|
$52.35
|
|
| Hospital Charge Code |
270662338
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.49 |
| Max. Negotiated Rate |
$26.18 |
| Rate for Payer: Aetna Commercial |
$19.89
|
| Rate for Payer: Aetna Medicare Advantage |
$15.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.35
|
| Rate for Payer: Cigna Commercial |
$26.18
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.61
|
| Rate for Payer: Oxford Commercial |
$10.47
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.47
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.65
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.49
|
|
|
BLADE SAW WIDE .5 INCH
|
Facility
|
IP
|
$1,665.00
|
|
| Hospital Charge Code |
270693696
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$249.75 |
| Max. Negotiated Rate |
$249.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$249.75
|
|
|
BLADE SAW WIDE .5 INCH
|
Facility
|
OP
|
$1,665.00
|
|
| Hospital Charge Code |
270693696
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.29 |
| Max. Negotiated Rate |
$832.50 |
| Rate for Payer: Aetna Commercial |
$632.70
|
| Rate for Payer: Aetna Medicare Advantage |
$499.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$424.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$424.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$424.57
|
| Rate for Payer: Cigna Commercial |
$832.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$432.90
|
| Rate for Payer: Oxford Commercial |
$333.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$249.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$333.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$52.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$47.29
|
|
|
BLADE SCALPEL 20MM STD
|
Facility
|
IP
|
$2,025.00
|
|
| Hospital Charge Code |
270684398
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$303.75 |
| Max. Negotiated Rate |
$303.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$303.75
|
|
|
BLADE SCALPEL 20MM STD
|
Facility
|
OP
|
$2,025.00
|
|
| Hospital Charge Code |
270684398
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.51 |
| Max. Negotiated Rate |
$1,012.50 |
| Rate for Payer: Aetna Commercial |
$769.50
|
| Rate for Payer: Aetna Medicare Advantage |
$607.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$516.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$516.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$516.38
|
| Rate for Payer: Cigna Commercial |
$1,012.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$526.50
|
| Rate for Payer: Oxford Commercial |
$405.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$303.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$405.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$63.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$57.51
|
|
|
BLADE SCREWDRIVER 1.5/2.0mm
|
Facility
|
IP
|
$2,757.00
|
|
| Hospital Charge Code |
270656594
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$413.55 |
| Max. Negotiated Rate |
$413.55 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$413.55
|
|
|
BLADE SCREWDRIVER 1.5/2.0mm
|
Facility
|
OP
|
$2,757.00
|
|
| Hospital Charge Code |
270656594
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.30 |
| Max. Negotiated Rate |
$1,378.50 |
| Rate for Payer: Aetna Commercial |
$1,047.66
|
| Rate for Payer: Aetna Medicare Advantage |
$827.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$703.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$703.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$703.03
|
| Rate for Payer: Cigna Commercial |
$1,378.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$716.82
|
| Rate for Payer: Oxford Commercial |
$551.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$413.55
|
| Rate for Payer: UnitedHealthcare Commercial |
$551.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$87.12
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$78.30
|
|